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Collection: Original Records > Death Records
Mortuary Records 1895 to 1902 - Book 4 & 5 (307 pages)

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Page: of 307

AD tinea ahve SE
250
Number of Funeral OLF
Number for the Current veur_ 27 ~
Be careful to enter name of deceased and number of page
in index for future reference.
Items of Bill, (cross out printed items not furnished.)
1 9 li a A I le A. aN st is
Name of Dec’d#
Late Residence Cats i
got
Door Crape
Candelabra and...-Candles. Draperies
Washing & Laying out Remains, Shaving
Cause of Death Guay 4 4 . Preservation of Remains MZ
Certifying Physician Qh, (bb, F frac nBbabrasrer. Trimming. WA
s WZ y A 2biag pare 2
Date of Death (A te. ar / 7 j—_
Date of Burial at’. st
ate of Buria : annnmmeee .
(peed: Chart No. Handles
Funeral at House or Churchbh ss No....-----Plate engraved
Place of Burial f” Cemetery. . . Outside Box, (Pine, Chestnut, Oak, Cedar) Le. gf
Grave or Lot No. Section No PI't’ H'dl's Cornaraon Box.
Delivering to Cemetery
Location of Grave [33™ No Robe
1 age ae ‘pone wih M uble Crees " Prs. Gloves Linen Scarfs.
Show position of monument by ©. Use of Doz. Chai :
wee Doz. Chairs
r I Flowers —
Inscription Hearse (Lave LZ, 2B
Aor = aA
on Plate. Carriages, to a. . V4,
ole G+ Ler DYirmelec J \Soa
Heel UA id ; Length to Hee feet in. :
Measurement.
2..
\ ran at Shoulder egpog fetl af Li crneeds VAM)
Bill Rendered to
When Rendered
MEMORANDUM.
Advertising
Cemetery charges
Transportation Expenses, &c.
Attendance & Assistants
Amount of Bill Gf
US AS be QN
Amount Brought Forward..
Amount Carried Forward
JO
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~ PAYMENTS. ©
LOS R